Informing American Muslims about living donation through tailored health education: A randomized controlled crossover trial evaluating increase in biomedical and religious knowledge

Aasim I Padela, Rosie Duivenbode, Michael Quinn, Milda R Saunders, Aasim I Padela, Rosie Duivenbode, Michael Quinn, Milda R Saunders

Abstract

Biomedical and religious knowledge affects organ donation attitudes among Muslims. We tested the effectiveness of mosque-based, religiously tailored, ethically balanced education on organ donation among Muslim Americans. Our randomized, controlled, crossover trial took place at 4 mosques randomized to an early arm where organ donation education preceded a control educational workshop or a late arm with the order reversed. Primary outcomes were changes in biomedical (Rotterdam Renal Replacement Knowledge Test living donation subscale, R3KT) and religious (Islamic Knowledge of Living Organ Donation, IK-LOD) living kidney donation knowledge. Statistical analysis employed a 2 (Treatment Arm) X 3 (Time of Assessment) mixed-method analysis of variance. Of 158 participants, 59 were in the early arm and 99 in the late arm. A between group t test comparison at Period 1 (Time 1 - Time 2), demonstrated that the early arm had a significantly higher mean IK-LOD (7.11 v 5.19, P < .05) and R3KT scores (7.65 v 4.90, P < .05) when compared to the late arm. Late arm participants also had significant increases in mean IK-LOD (5.19 v 7.16, P < .05) and R3KT scores (4.90 v. 6.81, P < .05) postintervention (Time 2-Time 3). Our novel program thus yielded significant kidney donation-related knowledge gains among Muslim Americans (NCT04443114 Clinicaltrials.gov).

Keywords: disparities; education; ethics and public policy; health services and outcomes research; organ transplantation in general.

© 2020 The American Society of Transplantation and the American Society of Transplant Surgeons.

References

REFERENCES

    1. Mohamed B. New estimates show US Muslim population continues to grow. Pew Research Center. 2018;3.
    1. Americans M. No Signs of Growth in Alienation or Support for Extremism. Washington, DC: Pew Research Center; 2011.
    1. Karter AJ, Schillinger D, Adams AS, et al. Elevated rates of diabetes in Pacific Islanders and Asian subgroups: the Diabetes Study of Northern California (DISTANCE). Diabetes Care. 2013;36(3):574-579.
    1. Jaber LA, Brown MB, Hammad A, et al. Epidemiology of diabetes among Arab Americans. Diabetes Care. 2003;26(2):308-313.
    1. El-Sayed AM, Galea S. The health of Arab-Americans living in the United States: a systematic review of the literature. BMC Public Health. 2009;9(1):272.
    1. Rao MV, Qiu Y, Wang C, Bakris G. Hypertension and CKD: Kidney Early Evaluation Program (KEEP) and National Health and Nutrition Examination Survey (NHANES), 1999-2004. Am J Kidney Dis. 2008;51(4):S30-S37.
    1. Health, United States, 2015: With Special Feature on Racial and Ethnic Health Disparities.Hyattsville, MD: Centers for Disease Control; 2016.
    1. Malek SK, Keys BJ, Kumar S, Milford E, Tullius SG. Racial and ethnic disparities in kidney transplantation. Transpl Int. 2011;24(5):419-424.
    1. Saunders MR, Lee H, Alexander GC, Tak HJ, Thistlethwaite JR Jr, Ross LF. Racial disparities in reaching the renal transplant waitlist: Is geography as important as race? Clin Transplant. 2015;29(6):531-538.
    1. Zhou S, Massie AB, Luo X, et al. Geographic disparity in kidney transplantation under KAS. Am J Transplant. 2018;18(6):1415-1423.
    1. Purnell TS, Luo X, Cooper LA, et al. Association of race and ethnicity with live donor kidney transplantation in the United States from 1995 to 2014. JAMA. 2018;319(1):49-61.
    1. Mucsi I, Bansal A, Famure O, et al. Ethnic background is a potential barrier to living donor kidney transplantation in Canada: a single-center retrospective cohort study. Transplantation. 2017;101(4):e142-e151.
    1. Ali A, Ayub A, Richardson C, et al. South Asian and Muslim Canadian Patients are less Likely to Receive Living Donor Kidney Transplant offers Compared to Caucasian. Non-Muslim Patients. Transplantation. 2018;102:S502.
    1. Padela AI, Zaganjor H. Relationships between Islamic religiosity and attitude toward deceased organ donation among American Muslims: a pilot study. Transplantation. 2014;97(12):1292-1299.
    1. Padela AI, Rasheed S, Warren GJ, Choi H, Mathur AK. Factors associated with positive attitudes toward organ donation in Arab Americans. Clin Transplant. 2011;25(5):800-808.
    1. Hafzalah M, Azzam R, Testa G, Hoehn KS. Improving the potential for organ donation in an inner city M uslim A merican community: the impact of a religious educational intervention. Clin Transplant. 2014;28(2):192-197.
    1. 2012 National Survey of Organ Donation Attitudes and Behaviors. Rockville, Maryland: Health Resources & Services Administration; 2013. .
    1. Alkhawari FS, Stimson GV, Warrens AN. Attitudes toward transplantation in UK Muslim Indo-Asians in west London. Am J Transplant. 2005;5(6):1326-1331.
    1. Sharif A, Jawad H, Nightingale P, et al. A quantitative survey of Western Muslim attitudes to solid organ donation. Transplantation. 2011;92(10):1108-1114.
    1. Al-Faqih S. The influence of Islamic views on public attitudes towards kidney transplant donation in a Saudi Arabian community. Public Health. 1991;105(2):161-165.
    1. Sheikh A, Dhami S. Attitudes to organ donation among South Asians in the UK. J R Soc Med. 2000;93(3):161-162.
    1. Moazam F, Jafarey AM, Shirazi B. To Donate a Kidney: Public Perspectives from Pakistan. Bioethics. 2014;28(2):76-83.
    1. Ahmed W, Harris S, Brown E. Attitudes to organ donation among South Asians in an English high street. J R Soc Med. 1999;92(12):626-627.
    1. Gauher ST, Khehar R, Rajput G, et al. The factors that influence attitudes toward organ donation for transplantation among UK university students of Indian and Pakistani descent. Clin Transplant. 2013;27(3):359-367.
    1. Karim A, Jandu S, Sharif A. A survey of South Asian attitudes to organ donation in the United Kingdom. Clin Transplant. 2013;27(5):757-763.
    1. Moazam F, Jafarey AM, Shirazi B. To Donate a Kidney: Public Perspectives from P akistan. Bioethics. 2014;28(2):76-83.
    1. Ismail SY, Massey EK, Luchtenburg AE, et al. Religious attitudes towards living kidney donation among Dutch renal patients. Med Health Care Philos. 2012;15(2):221-227.
    1. Duivenbode R, Hall S, Padela AI. A Mosque-Based Qualitative Study on American Muslim Women’s Organ Donation Beliefs. Progress in Transplantation. 0(0):1526924819893933.
    1. Ali SZ.On Organ Donation and Transplantation. . Accessed December 2, 2018
    1. Padela AI, Duivenbode R. The ethics of organ donation, donation after circulatory determination of death, and xenotransplantation from an Islamic perspective. Xenotransplantation. 2018;25(3):1-12.
    1. Padela AI, Malik S, Ally SA, Quinn M, Hall S, Peek M. Reducing muslim mammography disparities: outcomes from a religiously tailored mosque-based intervention. Health Education & Behavior. 2018;45(6):1025-1035.
    1. Padela AI, Duivenbode R, Quinn M, Saunders MR. Study Protocol for ‘Informing American Muslims about Organ Donation (I AM a LD)’. Social Science Protocols. 2019;2:1-17.
    1. Miller WR, Rollnick S. Motivational interviewing: Helping people change. Guilford press. 2012.
    1. Petty RE, Cacioppo JT. The elaboration likelihood model of persuasion. Communication and persuasion. Springer; 1986:1-24.
    1. Pasick RJ. Response to Kreuter and Skinner: consensus regarding use of the terms targeting and tailoring. Health Educ Res. 2001;16(4):503-508.
    1. Pasick RJ, D'onofrio CN, Otero-Sabogal R. Similarities and differences across cultures: questions to inform a third generation for health promotion research. Health Education & Behavior. 1996;23(1 suppl):142-161.
    1. Shirazi M, Engelman KK, Mbah O, et al. Targeting and Tailoring Health Communications in Breast Screening Interventions. Prog Community Health Partnersh. 2015;9(Suppl):83-89.
    1. Kreuter MW, Lukwago SN, Bucholtz RD, Clark EM, Sanders-Thompson V. Achieving cultural appropriateness in health promotion programs: targeted and tailored approaches. Health Education Behavior. 2003;30(2):133-146.
    1. Padela A, Malik S, Peek M, Vu M, Quinn M. Developing Religiously Tailored Health Messages for Behavioral Change: Introducing the Reframe, Reprioritize, and Reform ("3R") Model. Soc Sci Med. 2018;204:92-99.
    1. Initiative on Islam and Medicine. Conferences and Workshops. . Accessed April 1, 2020
    1. De Jong T, Ferguson-Hessler MG. Types and qualities of knowledge. Educ Psychol. 1996;31(2):105-113.
    1. Bandura A. Health promotion from the perspective of social cognitive theory. Psychol Health. 1998;13(4):623-649.
    1. Ajzen I. From Intentions to Actions: A Theory of Planned Behavior. In: Kuhl J, Beckmann J, eds. Action Control: From Cognition to Behavior. Springer, Berlin Heidelberg: Berlin, Heidelberg; 1985:11-39.
    1. Rimal RN. Closing the knowledge-behavior gap in health promotion: The mediating role of self-efficacy. Health communication. 2000;12(3):219-237.
    1. Ali M, Maravia U. Seven Faces of A Fatwa: Organ Transplantation and Islam. Religions. 2020;11(2):99.
    1. Padela AI, Auda J. The Moral Status of Organ Donation and Transplantation within Islamic Law: The Fiqh Council of North America's Position. Transplant Direct. 2020;6(3):e536.
    1. Waterman AD, Morgievich M, Cohen DJ, et al. Living donor kidney transplantation: improving education outside of transplant centers about live donor transplantation-recommendations from a consensus conference. Clin J Am Soc Nephrol. 2015;10(9):1659-1669.
    1. Shafi M. Islam on Grafting & Transplanting of Human Organs. In, 1st edn. Karachi, Pakistan; 1995.
    1. Hussaini MO. Organ Transplantation: Classical Hanafite Perspective. Pureway. 2012.
    1. Albar MA. Islamic ethics of organ transplantation and brain death. Saudi J Kidney Dis Transpl. 1996;7(2):109-114.
    1. Al-Mousawi M, Hamed T, Al-Matouk H. Views of Muslim Scholars on Organ Donation and Brain Death. Transpl Proc. 1997;29:3217.
    1. A Religiously Tailored Workshop on Organ Donation for Mosque Communities: Replication Guide. Chicago, IL: Initiative on Islam and Medicine; 2019. .
    1. Ismail SY, Timmerman L, Timman R, et al. A psychometric analysis of the Rotterdam Renal Replacement Knowledge-Test (R3K-T) using item response theory. Transpl Int. 2013;26(12):1164-1172.
    1. Ismail SY, Luchtenburg AE, Timman R, et al. Home-based family intervention increases knowledge, communication and living donation rates: a randomized controlled trial. Am J Transplant. 2014;14(8):1862-1869.
    1. Duivenbode R, Hall S, Padela A. A mosque-based qualitative study on American Muslim women’s organ donation beliefs. Progress in Transplantation. 2020;30(1):56-62.
    1. Padela AI, Duivenbode R, Quinn M. Measuring Organ Donation Knowledge among Muslim communities: Development and Validation of the Islamic Knowledge of Living Organ Donation Knowledge (IK-LOD) Scale. Progress in Transplantation. 2020(in-press).
    1. Wakefield CE, Watts KJ, Homewood J, Meiser B, Siminoff LA. Attitudes toward organ donation and donor behavior: a review of the international literature. Prog Transplant. 2010;20(4):380-391.
    1. Ware JE. Improvements in short-form measures of health status: introduction to a series. J Clin Epidemiol. 2008;61(1):1-5.
    1. Idler EL, Kasl S. Health perceptions and survival: Do global evaluations of health status really predict mortality? J Gerontol. 1991;46(2):S55-S65.
    1. Koenig HG, Büssing A. The Duke University Religion Index (DUREL): a five-item measure for use in epidemological studies. Religions. 2010;1(1):78-85.
    1. Abu Raiya H, Pargament KI, Mahoney A, Stein C. A psychological measure of Islamic religiousness: Development and evidence for reliability and validity. Int J Psychol Religion. 2008;18(4):291-315.
    1. Vu M, Azmat A, Radejko T, Padela AI. Predictors of delayed healthcare seeking among American Muslim women. J Women's Health. 2016;25(6):586-593.
    1. Rodrigue JR, Cornell DL, Kaplan B, Howard RJ. A randomized trial of a home-based educational approach to increase live donor kidney transplantation: effects in blacks and whites. Am J Kidney Dis. 2008;51(4):663-670.
    1. IBM SPSS Statistics for Windows. Version 25.0. In.
    1. Razaq S, Sajad M. A cross-sectional study to investigate reasons for low organ donor rates amongst Muslims in Birmingham. Internet J Law, Healthcare Ethics. 2007;4(2).
    1. Rasheed SA, Padela AI. THE INTERPLAY BETWEEN RELIGIOUS LEADERS AND ORGAN DONATION AMONG MUSLIMS. Zygon®. 2013;48(3):635-654.
    1. O’Keefe DJ. How to handle opposing arguments in persuasive messages: A meta-analytic review of the effects of one-sided and two-sided messages. Annals Int Commun Assoc. 1999;22(1):209-249.
    1. Rodrigue J, Cornell D, Lin J, Kaplan B, Howard R. Increasing live donor kidney transplantation: A randomized controlled trial of a home-based educational intervention. Am J Transplant. 2007;7(2):394-401.
    1. Boulware LE, Hill-Briggs F, Kraus ES, et al. Effectiveness of educational and social worker interventions to activate patients' discussion and pursuit of preemptive living donor kidney transplantation: a randomized controlled trial. Am J Kidney Dis. 2013;61(3):476-486.
    1. Gordon EJ, Feinglass J, Carney P, et al. A website intervention to increase knowledge about living kidney donation and transplantation among Hispanic/Latino dialysis patients. Progress in Transplantation. 2016;26(1):82-91.
    1. Irving MJ, Tong A, Jan S, et al. Factors that influence the decision to be an organ donor: a systematic review of the qualitative literature. Nephrol Dial Transplant. 2011;27(6):2526-2533.
    1. Krupic F. The Impact of Religion and Provision of Information on Increasing Knowledge and Changing Attitudes to Organ Donation: An Intervention Study. J Relig Health. 2019.
    1. Padela AI, Killawi A, Heisler M, Demonner S, Fetters MD. The role of imams in American Muslim health: perspectives of Muslim community leaders in Southeast Michigan. J Relig Health. 2011;50(2):359-373.
    1. Rady MY, Verheijde JL. Campaigning for Organ Donation at Mosques. HEC Forum. 2016;28(3):193-204.
    1. Lipka M.Muslims and Islam: Key findings in the U.S. and around the world. Fact Tank 2017; . Accessed April 1, 2020, 2020
    1. Howard K, Salkeld G, White S, et al. The cost-effectiveness of increasing kidney transplantation and home-based dialysis. Nephrology. 2009;14(1):123-132.
    1. Loubeau PR, Loubeau J-M, Jantzen R. The economics of kidney transplantation versus hemodialysis. Progress in transplantation. 2001;11(4):291-297.

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